Provider Demographics
NPI:1720547417
Name:ARNDT, SINEAD DEIRDRE (PA)
Entity Type:Individual
Prefix:
First Name:SINEAD
Middle Name:DEIRDRE
Last Name:ARNDT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SINEAD
Other - Middle Name:DEIRDRE
Other - Last Name:CHISA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 CAMPUS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2896
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:65 RIVERTON COMMONS DR
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6768
Practice Address - Country:US
Practice Address - Phone:540-635-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110006585363A00000X
WV2244363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant